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Table 5 The summary subchondral bone associations with joint replacement, structural progression and pain in peripheral OA

From: A systematic review of the relationship between subchondral bone features, pain and structural pathology in peripheral joint osteoarthritis

Subchondral bone feature of OA

Pain and structural associations

Knee structure

Knee pain

Hand structure

Hand pain

Hip structure

Hip pain

Ankle structure

MRI bone marrow lesions

Progression (i)

LPS (i)

Progression (i)

No LPS (w)

Severity (w)

Severity (n)

 

IFP (n)

No severity (n)

TKR (i)

MRI osteophytes

Progression (i)

LPS (n)

Severity (n)

No severity (n)

   

TKR (n)

MRI bone attrition

No progression (0)

No severity (0)

Severity (n)

No severity (n)

   

MRI bone shape or dimensions

Progression (i)

IFP (i)

  

No severity (0)

  

Severity (n)

TKR (i)

MRI bone cyst

No progression

No LPS (n)

No severity (n)

No severity (n)

 

Severity (n)

 

?severity

MRI or CT trabecular morphometry

Progression (n)

   

Severity (n)

  

DXA or CT Peri-articular BMD

Progression (n)

   

Severity (w)

  

2D Bone shape

Severity (w)

Severity (n)

  

Progression (i)

  

THR (i)

Scintigraphy

No Progression (0)

  

No severity (n)

  

Severity (w)

  1. CT computed tomography, dual-energy DXA x-ray absorptiometry, (i) independent association, IFP incident frequent pain, (n) association with no or inadequate covariate adjustment, TKR total knee replacement, THR total hip replacement, LPS mean change in longitudinal pain severity, (w) well-adjusted association, (0) association insignificant after covariate adjustment